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1 <br /> . , 81&780-0020 City of Zephyrhills Permit Application Fax-8137840027 <br /> �' � ,�., Building Department <br /> : ' � <br /> Date Received Phone Contact for Permitti <br /> Owners Name `C+Q� i T4� ��� S ���er~Phone Number �? �l Q f ���� <br /> Owner's Address "�T It �''l�� `�S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �"` Q� LOT# � <br /> SUBDIVISION PARCELIDtt ��' �0'Z�� ��0-p2300-c�01 Z <br /> (OBTAINED FROM PROPERN TAX NOTIC� <br /> WORK PROPOSED e NEw CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIP710N OF WORK Q R��r I'�. <br /> BUILDING SIZE SQ FOOTAGE IZ� HEIGHT I� <br /> QBUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �<'" ����� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER �V� <br /> FlNISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO <br /> BUILDER COMPANY f! I� <br /> SIC3NATURE REGISTEftm Y! N FE' RREN Y/N <br /> Address d� ,,(��IUI�1 Q ����v License# 2��2 <br /> ELECTRICIAN / COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address License# � <br /> PLUMBER - COMPANY <br /> SIGNATURE REcisr�am Y/ N �cuR� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIf3NATURE R[-�isrezm Y! N FEECURREN Y/N <br /> Address License# <br /> 07HER COMPANY <br /> SIONATURE REGISiERED Y/ N FEECURREN Y/N <br /> Address License# <br /> II � IIIIIIIIIIIIII � IIIIIIIIIIIIII � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Building Plans;(1)set of Energy Fortru;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after subm'ittal date. Required onsite,Canstrudion Ptans,Stortnwater Plans w/Silt Fence inshalled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-aW PermR for new construdion. <br /> Minimum ten(10)uwrking days after submittal date. Required onsite,Conshudian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All crommercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requfred for all NEW construction. <br /> i.l • IL1 • • �4.1 • 4.1Lai�..14i • • � • <br /> Directlons: <br /> Fill out application completety_ <br /> Owner&ConVador sign back of application,nofarized <br /> If over S2600,a Notice of Commencement is requfred. (A!C upgrades over ST600) <br /> " Agent(for the contrador)or Power of Attorney(for the owner)would be someone with noTarized IeCer from owner autharizing same <br /> OVER THE COUNTER PERMITrINO (copy of contrad require� <br /> Reroofs iF shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not ovar Counter if on public roadways..needs ROW <br />